City Of Le Grand Building Permit Application

Fee: $10.00 Res. / $20.00 Com.

Before this building permit may be issued, the lot markers must be flagged. A penalty of $100.00 per day will be assessed if a structure or an addition is built in violation of the set back regulations.

Date:

Name of Applicant:

Street address (Lot address):

Applicant Phone Number:

Owner of Lot:

Address of Owner:

Contractor:

Address of Contractor:

Purpose of new structure (i.e. house, fence, shed. etc.):

Dimensions of new structure:

Height of new structure:

Your Lot dimensions:

Current Zoning of your lot:

Front Yard Depth:

Rear Yard Depth:

Side Yard Depth:

Valuation:

This application and any permit that may be granted in response thereto are subject to all laws of the State of Iowa and all ordinances of the City of Le Grand, Iowa that may have a bearing on the same.

The Applicant, _________________________, being duly sworn, deposes and says that he is the owner, or that he is authorized and empowered to make affidavit for the owner, who makes the accompanying application, that the application, plat, plans, and specifications are true and contain a correct description of the proposed building, building construction, lot, and use to which building is to be placed.

The Applicant has attached a sketch of lot and buildings.

The Applicant has been made aware of the City Of Le Grand’s Urban Revitalization plan and has been given a copy of the City of Le Grand Urban Revitalization Tax Exemption Application.

Application is herewith made by _________________________________________________________

(Owner or representative)

Application & Fee were turned into City Hall on ________________by ____________________________

(DATE) (CLERK)

Application was examined and approved on ___________________ by ____________________________

(DATE) (BUILDING COMMISSIONER)

Application was examined and approved on ___________________ by ____________________________

(DATE) (BUILDING COMMISSIONER)